Organization
NY NEUROLOGICAL CONSULTANT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASILDA BALMACEDA MD (MEDICAL DIRECTOR)
(212) 927-3327
Entity
Organization
Contact information
Practice address
350 FORT WASHINGTON AVE, NEW YORK, NY 10033
(212) 927-3327
(212) 927-3307
Mailing address
350 FORT WASHINGTON AVE, NEW YORK, NY 10033-6846
(212) 927-3327
(212) 927-3307
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
186529
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01830579
—
NY
Enumeration date
09/20/2010
Last updated
07/03/2018
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